CASEY PUCKETT (NPI# 1902412422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902412422 |
Entity Type | Individual |
Full Name | CASEY PUCKETT |
Credential | CNP |
Practice Address |
2131 E State St Athens OH 45701-2138 |
Mailing Address |
61564 Mount Zion Rd Mc Arthur OH 45651-8612 |
Practice Telephone | 7405893100 |
Mailing Telephone | 7405774037 |
Enumeration Date | 2020-09-21 |
Last Update Date | 2020-09-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN.CNP.0026897 | OH | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
2131 E STATE ST |
City | ATHENS |
State | OH |
Zip Code | 45701-2138 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831192020 | Catherine A Coats | Obstetrics & Gynecology | 2131 E State St, Athens, OH 45701-2138 | 2005-05-23 |
1770108862 | Jason Andrew Thompson | Nurse Anesthetist, Certified Registered | 2131 E State St, Athens, OH 45701-2138 | 2020-06-15 |
1255983995 | Gabriela Prieto | Physician Assistant | 2131 E State St, Athens, OH 45701-2138 | 2019-07-12 |
1053978007 | Megan R Radcliff | Nurse Practitioner | 2131 E State St, Athens, OH 45701 | 2019-05-24 |
1801387154 | Kyle Klein | Physical Therapist | 2131 E State St, Athens, OH 45701-2138 | 2018-05-22 |
1477052066 | Rosanna Dillard | Nurse Practitioner | 2131 E State St, Athens, OH 45701-2138 | 2018-02-08 |
1073961678 | Tiffany R. Boggs | Nurse Practitioner | 2131 E State St, Athens, OH 45701-2138 | 2016-05-25 |
1669852604 | Megan Weiss | Nurse Anesthetist, Certified Registered | 2131 E State St, Athens, OH 45701-2138 | 2015-06-04 |
1609279363 | Bobbi J. Lundy | Nurse Practitioner | 2131 E State St, Athens, OH 45701-2138 | 2014-10-08 |
1093149460 | Lauren Lee Mente | Registered Nurse | 2131 E State St, Athens, OH 45701-2138 | 2013-08-21 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912508797 | Vince R Koping | Pharmacist | 929 East State St, Athens, OH 45701 | 2020-11-06 |
1164051926 | Rachel Staker | Student in an Organized Health Care Education/Training Program | 86 Circle Drive, Suite 203, Athens, OH 45701 | 2020-04-03 |
1932736709 | Maria Augusta Suarez-hamman | Student in an Organized Health Care Education/Training Program | 86 Columbus Circle, Suite 203, Athens, OH 45701 | 2020-03-23 |
1831746882 | Justin Joseph Moakler | Specialist/Technologist | Ohio University Athens Training Facility, Grover Center E 187, Athens, OH 45701 | 2019-08-23 |
1275186991 | Barry Brady | Psychologist | Hudson Health Center, 3rd Floor 1 Ohio University, Athens, OH 45701 | 2019-07-22 |
1821559691 | Mary N Lee | Student in an Organized Health Care Education/Training Program | 1 Ohio Univerisity Dept of Psychology, Porter Hall Room 002, Athens, OH 45701 | 2019-03-26 |
1275007692 | Gabrielle Ruth Wesemeyer | Student in an Organized Health Care Education/Training Program | 6 South Congress Street, Athens, OH 45701 | 2019-01-18 |
1528551918 | Bradford Thomas Meyers | Psychologist | 1 University Ave, Ohio University, Athens, Oh 45701, Athens, OH 45701 | 2018-06-11 |
1912499344 | William Monopoli | Student in an Organized Health Care Education/Training Program | 1 Ohio University Department of Psychology, Porter Hall Room 002, Athens, OH 45701 | 2018-06-01 |
1477044113 | 59 Green Ltd. | Taxi | 14 Cook Drive, Athens, OH 45701 | 2018-05-29 |
Find all providers in zip 45701 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
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1932758828 | Paula White | Nurse Practitioner | 12 Walcon Ln Apt 2, Athens, TN 37303-3764 | 2019-09-04 |
1114574621 | April Lee White | Nurse Practitioner | 3655 Whiteoak Creek Rd, Athens, WV 24712-9628 | 2019-08-20 |
1255988937 | Brandi Jones | Nurse Practitioner | 115 Medical Cir Ste 100, Athens, TX 75751-9004 | 2019-08-19 |
1467008128 | Erica Denise Long | Nurse Practitioner | 220 S Jackson St, Athens, TN 37303-4713 | 2019-08-16 |
1215598131 | Patricia Ann Torres | Nurse Practitioner | 494 Baxter St, Athens, GA 30605-1172 | 2019-06-21 |
Find all providers in ATHENS |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.